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Cardiopulmonary resuscitation in end of life care
Authors: Joanne Reynolds | Sue Croft
Date: August 2012
Journal: Nursing Standard
Issue: Volume 26, Number 51
Keywords: Cardiorespiratory arrest, cardiopulmonary resuscitation, communication, end of life care
This article discusses ethical, legal and professional issues surrounding ‘do not attempt cardiopulmonary resuscitation’ (DNACPR) decisions in end of life care. The principles outlined throughout this article are applicable in any care setting. It explains what a DNACPR decision is, its relevance to clinical practice, and provides guidance on decision making and its implementation. The article also discusses the ethical considerations when discussing DNACPR decisions with patients and families, as well as the legal issues surrounding advance decisions to refuse treatment. Case studies are used to link theory to practice.
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The RCN Publishing Company is a wholly owned subsidiary of the Royal College of Nursing, the world's largest organisation for nurses. RCN Publishing produces one weekly, eight monthly and two quarterly nursing publications. Nursing Standard, the flagship journal, is the UK's biggest selling weekly for nursing. It is produced by RCN Publishing Company along with a suite of specialist nursing journals - Cancer Nursing Practice, Mental Health Practice, Learning Disability Practice, Nursing Children and Young People, Nursing Management, Emergency Nurse, Nursing Older People, Nurse Researcher and Primary Health Care. RCN Publishing Company also produce the RCN Bulletin, a major source of up-to-the-minute information for RCN members in all specialities, grades and working environments. With the latest nurse vacancies from trusts nationwide, it has become the most cost-effective nurse recruitment magazine available.